Jackson Lawrence Lisotta, SRNA
Jackson Lawrence Lisotta, SRNA is a Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.
- Licensed in
- NC
- In the registry since
- 2026
Practice location Address checks out
Winston Salem, NCNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 365263 (NC) |
|---|
Record details
| NPI number | 1831043330 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SRNA |
| Sole proprietor | No |
| NPI enumerated | February 23, 2026 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
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